Opportunity Information: Apply for HRSA 15 085
Apply for HRSA 15 085
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Technical Resource Center for Newborn Hearing Screening and Intervention" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.251 Universal Newborn Hearing Screening.
- This funding opportunity was created on Sep 10, 2014 and posted on Sep 10, 2014.
- Applicants must submit their applications by Nov 10, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $1,200,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Any public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b) is eligible to apply. Faith based and community based organizations are also eligible to apply.
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Opportunity Summary:
The National Technical Resource Center for Newborn Hearing Screening and Intervention grant opportunity (HRSA-15-085) is a Health Resources and Services Administration (HRSA) cooperative agreement designed to strengthen the Universal Newborn Hearing Screening (UNHS) Program nationwide. The core problem it targets is loss to follow-up and loss to documentation (LTF/D) after a baby does not pass the initial physiologic hearing screen before discharge from the newborn nursery. In practical terms, HRSA is funding a single national center that will help state and territorial Early Hearing Detection and Intervention (EHDI) programs ensure infants actually receive timely rescreening, diagnostic evaluation, referral, and early intervention services rather than falling through the cracks due to communication gaps, data problems, workforce limitations, or access barriers.
The Center is expected to function as a national hub that delivers training and hands-on technical assistance to EHDI programs focused on planning, policy development, innovation adoption, and the routine use of quality improvement (QI) methods. The two headline goals are to help states reduce LTF/D by 5 percentage points per year (with particular attention to rural and underserved communities) and to expand the use of QI so that 100 state EHDI programs incorporate QI methodology and processes into day-to-day operations. Because this is a cooperative agreement, HRSA anticipates an active partnership with the awardee rather than a hands-off grant, with the Center coordinating closely with federal and non-federal partners.
To carry out the work, the Center must build a multidisciplinary advisory structure that includes family representatives and members of medically underserved populations, along with pediatric clinicians, audiologists, public health professionals, evaluators, and experts in quality improvement and telehealth. A major emphasis is identifying and testing promising practices that can be replicated across states. Examples highlighted in the announcement include strengthening linkages between newborn screening systems and family-centered medical homes (FCMH), improving coordination between medical homes and early intervention programs, connecting families to home visiting services, and expanding telehealth or tele-intervention models to improve access to rescreening, diagnostic audiology, and early intervention, especially where geography and workforce shortages create delays.
Another required component is a structured dissemination and diffusion plan so successful innovations do not stay isolated. HRSA expects the Center to define target audiences, goals, and measurable improvements, and to develop culturally and linguistically appropriate tools and communication channels to reach opinion leaders, peers, stakeholders, and other key groups. The Center must also provide technical assistance both one-on-one to states and through shared learning communities. This assistance is expected to cover practical implementation topics like workforce strategies, policy and financing approaches that support long-term sustainability, and integration with broader early childhood and health promotion systems, including medical home approaches.
The Center is also expected to collaborate across a wide landscape of partner organizations and programs that influence newborn and early childhood services. The announcement specifically calls out coordination with the American Academy of Pediatrics (AAP), the CDCs National Center for Birth Defects and Developmental Disabilities, the Head Start Bureau within the Administration for Children and Families, the National Institutes of Health, and the Department of Educations IDEA Part C early intervention programs, among others. The intent is to align EHDI follow-up and intervention with the systems families already touch, reducing duplication and closing gaps in referral and data exchange.
HRSA lays out several concrete national targets the Center should help states reach. These include having all state EHDI programs adopt QI processes, supporting at least 25 states in conducting feasibility studies for electronic linkages between EHDI databases and other key data systems (such as vital records, early intervention, and immunization registries) so providers can more easily retrieve results, and doubling the number of states using telehealth for UNHS-related services from 4 to 8. Another major target is ensuring that 95 percent of states have a process to link all infants in UNHS to a family-centered medical home, reinforcing continuity of care and improving the reliability of follow-up.
Program success is tied to performance outcomes tracked through annual CDC data. HRSA expects each state or territory to reduce its LTF/D percentage by 5 each year, maintain a very high rate of screening by 1 month of age (98 percent), raise the share of infants who fail initial screening and receive an audiologic diagnosis by 3 months of age to 90 percent (up from 70 percent in 2012), and ensure 95 percent of infants identified with hearing loss are enrolled in early intervention by 6 months of age. Collectively, these expectations reflect the widely used early hearing detection timeline of screening by 1 month, diagnosis by 3 months, and intervention by 6 months, with added pressure on states to tighten follow-up systems and documentation.
Administratively, the opportunity is listed under CFDA 93.251 (Universal Newborn Hearing Screening). HRSA anticipated making one award with an estimated total funding amount of $1.2 million and stated there is no cost-sharing or matching requirement. Eligibility is broad: any public or private entity may apply, including Indian tribes or tribal organizations, and faith-based and community-based organizations are explicitly eligible. The funding opportunity was posted September 10, 2014, with an original and final closing date of November 10, 2014, and it was later archived on April 28, 2015.
Frequently Asked Questions (FAQs)
What is the National Technical Resource Center for Newborn Hearing Screening and Intervention (HRSA-15-085)?
HRSA-15-085 is a Health Resources and Services Administration (HRSA) cooperative agreement to fund a single national technical resource center focused on strengthening the Universal Newborn Hearing Screening (UNHS) Program nationwide, with a major focus on improving follow-up after infants do not pass the initial hearing screen.
What problem is this grant opportunity trying to solve?
The opportunity targets loss to follow-up and loss to documentation (LTF/D) after a baby does not pass the initial physiologic hearing screen before discharge from the newborn nursery. The goal is to reduce the number of infants who miss timely rescreening, diagnostic evaluation, referral, and early intervention due to communication gaps, data issues, workforce limitations, or access barriers.
What does LTF/D mean in this announcement?
LTF/D stands for loss to follow-up and loss to documentation. In this context, it refers to infants who do not pass the initial hearing screen and then either do not receive the needed follow-up services, or the follow-up occurs but is not properly documented in the system.
Is this grant funding multiple centers or just one?
HRSA anticipated making one award to support a single national center.
What agency is offering this opportunity, and what type of award is it?
The opportunity is offered by HRSA and is structured as a cooperative agreement, meaning HRSA expects an active partnership with the awardee rather than a hands-off grant arrangement.
What is the CFDA number for this opportunity?
The opportunity is listed under CFDA 93.251 (Universal Newborn Hearing Screening).
How much funding was available?
HRSA estimated a total funding amount of $1.2 million for this opportunity.
Is there a cost-sharing or matching requirement?
No. HRSA stated there is no cost-sharing or matching requirement.
Who was eligible to apply?
Eligibility was broad. Any public or private entity could apply, including Indian tribes or tribal organizations. Faith-based and community-based organizations were explicitly eligible.
What is the overall purpose of the national center being funded?
The center is intended to serve as a national hub that provides training and hands-on technical assistance to state and territorial Early Hearing Detection and Intervention (EHDI) programs, supporting planning, policy development, adoption of innovations, and routine use of quality improvement (QI) methods to improve follow-up and documentation.
What are the headline goals for the center?
The announcement highlights two major goals: (1) help states reduce LTF/D by 5 percentage points per year, with particular attention to rural and underserved communities; and (2) expand the use of quality improvement so that 100 state EHDI programs incorporate QI methodology and processes into day-to-day operations.
What kind of technical assistance is expected?
The center is expected to provide both one-on-one technical assistance to states and shared learning communities. Assistance is expected to cover implementation topics such as workforce strategies, policy and financing approaches for long-term sustainability, and integration with broader early childhood and health promotion systems, including family-centered medical home approaches.
What is the role of quality improvement (QI) in this program?
QI is a central requirement. The center is expected to help EHDI programs adopt and use QI methods routinely in daily operations, with the national target that all state EHDI programs adopt QI processes and that 100 state EHDI programs incorporate QI methodology into routine practice.
What populations or settings are specifically emphasized?
The announcement places particular attention on rural and underserved communities where geography, workforce shortages, and access barriers can delay rescreening, diagnostic audiology, and early intervention.
What advisory or governance structure is the center required to build?
The center must build a multidisciplinary advisory structure that includes family representatives and members of medically underserved populations, as well as pediatric clinicians, audiologists, public health professionals, evaluators, and experts in quality improvement and telehealth.
What kinds of “promising practices” does HRSA want the center to identify and test?
The announcement emphasizes identifying and testing practices that can be replicated across states. Examples include strengthening linkages between newborn screening systems and family-centered medical homes (FCMH), improving coordination between medical homes and early intervention programs, connecting families to home visiting services, and expanding telehealth or tele-intervention models to improve access.
How does telehealth fit into the expected work?
Telehealth (and tele-intervention) is presented as a way to improve access to rescreening, diagnostic audiology, and early intervention, especially in areas with geographic barriers or workforce shortages. A specific national target is to double the number of states using telehealth for UNHS-related services from 4 to 8.
What does the announcement say about connecting infants to a family-centered medical home (FCMH)?
A major target is ensuring that 95 percent of states have a process to link all infants in UNHS to a family-centered medical home to support continuity of care and strengthen follow-up reliability.
Is data systems integration part of the expected work?
Yes. The center is expected to support at least 25 states in conducting feasibility studies for electronic linkages between EHDI databases and other key data systems such as vital records, early intervention, and immunization registries to improve access to results and strengthen documentation.
What is required regarding dissemination and scaling of successful approaches?
The center must have a structured dissemination and diffusion plan so innovations do not remain isolated. HRSA expects the center to define target audiences, goals, and measurable improvements, and to develop culturally and linguistically appropriate tools and communication channels to reach opinion leaders, peers, stakeholders, and other key groups.
Which partner organizations and programs is the center expected to coordinate with?
The announcement calls out coordination with the American Academy of Pediatrics (AAP), the CDC’s National Center for Birth Defects and Developmental Disabilities, the Head Start Bureau within the Administration for Children and Families, the National Institutes of Health, and the Department of Education’s IDEA Part C early intervention programs, among others.
How is success measured for this program?
Program success is tied to performance outcomes tracked through annual CDC data and state/territory progress toward specific targets related to screening, diagnosis, intervention, and reductions in LTF/D.
What are the key national performance expectations mentioned?
HRSA expects each state or territory to reduce LTF/D by 5 percentage points each year, maintain a 98 percent screening rate by 1 month of age, raise the share of infants who fail initial screening and receive an audiologic diagnosis by 3 months of age to 90 percent (up from 70 percent in 2012), and ensure 95 percent of infants identified with hearing loss are enrolled in early intervention by 6 months of age.
What is the “1-3-6” timeline referenced by the expectations?
The expectations align with the commonly used early hearing detection timeline: screening by 1 month, diagnosis by 3 months, and intervention by 6 months, with additional emphasis on tightening follow-up systems and documentation.
When was this funding opportunity posted and when did it close?
The opportunity was posted on September 10, 2014. The original and final closing date was November 10, 2014.
Is this opportunity still active?
No. The opportunity was later archived on April 28, 2015.
What does it mean that the award is a cooperative agreement for day-to-day work?
Based on the announcement, a cooperative agreement means HRSA anticipates an active partnership with the awardee. The center is expected to coordinate closely with federal and non-federal partners as part of carrying out the national hub role.
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